Healthcare Provider Details

I. General information

NPI: 1396867909
Provider Name (Legal Business Name): ABBIE BEGNAUD MUCKLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBIE L BEGNAUD

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR UNIVERSITY OF MINNESOTA PHYSICIANS
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-1014
  • Fax: 319-356-7087
Mailing address:
  • Phone: 319-356-1014
  • Fax: 319-356-7087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD-57305
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD-57305
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-57305
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number107016
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: